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A Geospatial Analysis of Factors Affecting Access to CT Facilities: Implications for Lung Cancer Screening.

Publication ,  Journal Article
Tailor, TD; Tong, BC; Gao, J; Choudhury, KR; Rubin, GD
Published in: J Am Coll Radiol
December 2019

OBJECTIVE: The association between access to CT facilities for lung cancer screening and population characteristics is understudied. We aimed to determine the relationship between census tract-level socioeconomic characteristics (SEC) and driving distance to an ACR-accredited CT facility. METHODS: Census tract-level SEC were determined from the US Census Bureau. Distance to nearest ACR-accredited CT facility was derived at the census tract level. Census tract-level multivariable regression modeling was used to determine the relationship between driving distance to a CT facility and census tract SEC, including population density (a marker of rural versus urban), gender, race, insurance status or type, and education level. RESULTS: In an adjusted multivariable model, census tract-level population density was the greatest relative determinant of distance to a CT facility. Namely, rural census tracts had relatively longer distances to CT facilities than urban census tracts (P < .001). Census tracts with higher uninsured, Medicaid, undereducated (less

Duke Scholars

Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

December 2019

Volume

16

Issue

12

Start / End Page

1663 / 1668

Location

United States

Related Subject Headings

  • United States
  • Travel
  • Tomography, X-Ray Computed
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Mass Screening
  • Male
  • Lung Neoplasms
  • Insurance Coverage
  • Humans
 

Citation

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ICMJE
MLA
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Tailor, T. D., Tong, B. C., Gao, J., Choudhury, K. R., & Rubin, G. D. (2019). A Geospatial Analysis of Factors Affecting Access to CT Facilities: Implications for Lung Cancer Screening. J Am Coll Radiol, 16(12), 1663–1668. https://doi.org/10.1016/j.jacr.2019.06.020
Journal cover image

Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

December 2019

Volume

16

Issue

12

Start / End Page

1663 / 1668

Location

United States

Related Subject Headings

  • United States
  • Travel
  • Tomography, X-Ray Computed
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Mass Screening
  • Male
  • Lung Neoplasms
  • Insurance Coverage
  • Humans